| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,213 |
6,180 |
$390K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,893 |
3,259 |
$315K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,495 |
3,011 |
$281K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,126 |
3,511 |
$144K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,769 |
1,461 |
$132K |
| 99401 |
|
8,446 |
6,375 |
$115K |
| 99442 |
|
1,481 |
1,291 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
357 |
357 |
$45K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
587 |
546 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
357 |
357 |
$31K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,075 |
2,485 |
$25K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
226 |
226 |
$24K |
| 99487 |
Ccm add 20min |
214 |
214 |
$19K |
| 99441 |
|
434 |
381 |
$18K |
| 99490 |
Ccm add 20min |
324 |
324 |
$15K |
| 99386 |
|
137 |
137 |
$9K |
| 3074F |
|
5,105 |
3,999 |
$7K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
1,178 |
1,022 |
$7K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
942 |
937 |
$7K |
| 3078F |
|
4,599 |
3,668 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
485 |
474 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,155 |
1,142 |
$6K |
| 90756 |
|
200 |
200 |
$5K |
| 99385 |
|
66 |
66 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
5,183 |
5,043 |
$4K |
| 99397 |
|
51 |
42 |
$3K |
| 93000 |
|
155 |
154 |
$2K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
109 |
92 |
$2K |
| 3079F |
|
966 |
861 |
$2K |
| 90688 |
|
98 |
98 |
$2K |
| 99407 |
|
46 |
36 |
$871.14 |
| 3044F |
|
2,301 |
1,801 |
$767.00 |
| 1126F |
|
3,055 |
2,485 |
$755.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,221 |
3,493 |
$584.00 |
| 99443 |
|
14 |
14 |
$572.66 |
| 1159F |
|
5,188 |
3,958 |
$397.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
133 |
133 |
$394.36 |
| 1160F |
|
5,391 |
4,062 |
$369.50 |
| 3077F |
|
198 |
174 |
$369.00 |
| 90658 |
|
19 |
19 |
$356.13 |
| 3075F |
|
129 |
118 |
$217.50 |
| 1125F |
|
701 |
652 |
$193.00 |
| 3048F |
|
695 |
597 |
$119.00 |
| 2001F |
|
6,493 |
4,929 |
$74.40 |
| 3080F |
|
27 |
25 |
$50.00 |
| 99000 |
|
395 |
385 |
$20.00 |
| 3050F |
|
225 |
183 |
$14.00 |
| 2010F |
|
6,566 |
4,975 |
$5.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
884 |
763 |
$2.00 |
| A4245 |
Alcohol wipes, per box |
317 |
312 |
$1.04 |
| 3008F |
|
6,273 |
4,777 |
$0.29 |
| A4927 |
Gloves, non-sterile, per 100 |
324 |
319 |
$0.11 |
| 2000F |
|
5,055 |
3,897 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
616 |
516 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
252 |
247 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
118 |
117 |
$0.00 |
| 3725F |
|
1,074 |
1,001 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
279 |
243 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
646 |
569 |
$0.00 |
| 3016F |
|
405 |
347 |
$0.00 |
| 3049F |
|
417 |
346 |
$0.00 |
| 1000F |
|
155 |
145 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
227 |
208 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
45 |
41 |
$0.00 |